IVF requirements?

krisnogard · November 2010

Hey Everyone! My doctor and I talked about different options. I failed a femara cycle and my MD does not want me to do injectables to fear of multiples with my age? Weird. Anyways. I have fertility coverage through my work and he suggested doing IVF since one cycle would be completely covered. He said that he would either like to do that or clomid but there are some requirements with IVF first. We did not go into those because I wanted to talk to DH first. DH and I decided maybe one round of clomid then IVF. Do any of you know what "requirements" are? What has everyones experience with IVF been?

Edwina.McDunnough · November 2010

I was required to take a class and to have all my diagnostic checklist items completed. Some insurance companies have minimum requirements for moving on to IVF depending on your dx (ie a certain number of failed IUIs). You should just ask your RE to clarify.

madelyn07 · November 2010

Edwina.McDunnough:
You should just ask your RE to clarify.

Exactly. Different clinics and REs have different guidelines

I had to do a Clomid Challegen, have an updated HSG, SIS, blood work, have my height, weight, BMI on file, have had a meeting with the RE to go over all risks and possible complications, sign a bunch of paperwork...

kthappy76 · November 2010

Not sure of your dx, but it seems odd to me that he is considering Clomid or IVF. They are very different. Injects are not scary if they are low dose and you are monitored very closely. Is your coverage a $ amt. or a # of cycles?

IVF is the big guns, so I would exhaust your Clomid/injects and IUI options before pursuing it, but it depends on your dx, your coverage, your RE, and how big of a hurry you are in to get pg (I know it's like yesterday ). GL!

madelyn07 · November 2010

Oh yeah, and I agree. Odd that your RE won't consider injects.

If you are properly monitored there really isn't much more concern for multiples than there is on Clomid. You can easily have multiples on Clomid or with IVF as well. All depends on the monitoring you receive, the dosages of the meds and how ethical your RE is really...

Edwina.McDunnough · November 2010

kthappy76:
Not sure of your dx, but it seems odd to me that he is considering Clomid or IVF. They are very different. Injects are not scary if they are low dose and you are monitored very closely. Is your coverage a $ amt. or a # of cycles?

IVF is the big guns, so I would exhaust your Clomid/injects and IUI options before pursuing it, but it depends on your dx, your coverage, your RE, and how big of a hurry you are in to get pg (I know it's like yesterday ). GL!

Oh, I just saw that you had a pregnancy on your first medicated cycle, and I'm so sorry for your loss. But I agree, jumping to IVF after one bad cycle seems extreme. Also, your pregnancy is a really good sign that less invasive therapies could work for you. IVF is no joke.

patchen30 · November 2010

What's your Dx? He may be talking about requirements the insurance company has before you move onto IVF (some require a certain # of IUIs or ovulation induction), or he could be talking about IVF education classes the clinic offers, etc. I personally would be hesitant to jump into IVF if I'd gotten pg with a TI cycle and hadn't done IUIs yet, unless there was a good reason. I don't see why your RE couldn't start you on a very low dose of FSH with IUIs if you're not responding to Clomid - I did IUIs w/ 50 IUs of FSH.

krisnogard · November 2010

Good point!! I have an OOP max at $20,000 so I think he was saying because the more IUI and other treatments we do the closer we get to that and would have to pay for IVF out of our own pockets. I am actually seeing another MD next week so guess we will see what he says! I thought that it was weird to do either clomid or IVF but I wasent sure! Thanks for the help ladies!

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